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Mortality from Acut...
Mortality from Acute Coronary Syndrome: Does Place of Residence Matter?
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- Abbasi, Seyed Hesameddin (författare)
- Mittuniversitetet,Institutionen för hälsovetenskaper (HOV),Tehran University of Medical Sciences, Tehran, Iran; Harvard T.H. Chan School of Public Health, Boston, MA, United States,Tehran University of Medical Sciences, Iran; Mid-Sweden University; Harvard T.H. Chan School of Public Health, Boston, MA, USA
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- Sundin, Örjan, 1952- (författare)
- Mittuniversitetet,Institutionen för psykologi och socialt arbete,Mid-Sweden University
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- Jalali, Arash (författare)
- Tehran University of Medical Sciences, Iran
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- Soares, Joaquim, Professor, 1947- (författare)
- Mittuniversitetet,Institutionen för hälsovetenskaper (HOV),Mid-Sweden University
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- Macassa, Gloria (författare)
- Mittuniversitetet,Högskolan i Gävle,Folkhälsovetenskap,Mid-Sweden University,Institutionen för hälsovetenskaper (HOV),University of Gävle
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(creator_code:org_t)
- 2022-06-22
- 2022
- Engelska.
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Ingår i: Journal of Teheran University Heart Center. - : Tehran University of Medical Sciences. - 1735-8620 .- 2008-2371. ; 17:2, s. 56-61
- Relaterad länk:
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https://doi.org/10.1...
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https://hig.diva-por... (primary) (Raw object)
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https://urn.kb.se/re...
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https://doi.org/10.1...
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https://urn.kb.se/re...
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Abstract
Ämnesord
Stäng
- Background: Current evidence shows inequality in the outcomes of rural and urban patients treated at their place of residence. This study compared in-hospital mortality between rural and urban patients with acute coronary syndrome (ACS) to find whether there were differences in the outcome and received treatment.Methods: Between May 2007 and January 2018, patients admitted with ACS were included. The patients’ demographic, clinical, and laboratory data, as well as their in-hospital medical courses, were recorded. The association between place of residence (rural/urban) and in-hospital mortality due to ACS was evaluated using logistic regression adjusted for potential confounders.Results: Of 9088 recruited patients (mean age =61.30±12.25 y; 5557 men [61.1%]), 838 were rural residents. A positive family history of coronary artery disease (P=0.003), smoking (P=0.002), and hyperlipidemia (P=0.026), as well as a higher body mass index (P=0.013), was seen more frequently in the urban patients, while the rural patients had lower education levels (P<0.001) and higher unemployment rates (P=0.009). In-hospital mortality occurred in 135 patients (1.5%): 10 rural (1.2%) and 125 urban (1.5%) patients (P=0.465). The Firth regression model, used to adjust the effects of possible confounders, showed no significant difference concerning in-hospital mortality between the rural and urban patients (OR, 1.57; 95% CI, 0.376 to 7.450; P=0.585).Conclusion: This study found no significant differences in receiving proper treatment and in-hospital mortality between rural and urban patients with ACS.
Ämnesord
- MEDICIN OCH HÄLSOVETENSKAP -- Hälsovetenskap -- Folkhälsovetenskap, global hälsa, socialmedicin och epidemiologi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Health Sciences -- Public Health, Global Health, Social Medicine and Epidemiology (hsv//eng)
Nyckelord
- Rural Population
- Rural Health
- Urban Health
- Acute Coronary Syndrome
- Hospital Mortality
- Hållbar stadsutveckling
- Sustainable Urban Development
Publikations- och innehållstyp
- ref (ämneskategori)
- art (ämneskategori)
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